| NPI | 1154142180 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: GA 290868) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 290868) |
| Enumeration Date | 2024-10-22 |
| Last Update Date | 2024-10-29 |